Mahmoud Abdelhamed Eid, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

015911-1 Issued in NY

Practice address

406 15TH St Ste M1A
Brooklyn, NY 11215-6054

Phone

(718) 369-7560

Fax

(718) 369-7563

NPI assigned

Apr 23, 2010

Last updated

Jun 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edison Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1326311341
  NPD (past)
• Egypt Tone Inc

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1164690509
  NPD (past)
• Hartford Medical PC

  • Pain Medicine Physician
  • Brooklyn, NY
  • NPI 1285676635
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1871810382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DOTY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054721",
            "telephone_number": "718-524-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 15TH ST STE M1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156054",
            "telephone_number": "718-369-7560",
            "fax_number": "718-369-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EID",
        "first_name": "MAHMOUD",
        "middle_name": "ABDELHAMED",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "015911-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC# 015911-1",
            "identifier": "015911-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Eichler, LMSW
• Wendi P Eichner, M.S., CCC-SLP
• Nechama Eichorn, MS, CCC/SLP
• Kirsten Alissa Eid, LICSW, LCSW
• Mahmoud Eid, MD
• Russell Eida
• Mina J Eide, PH.D.
• Susan Eidlisz-Stern
• Alexandra Giselle Eidlisz, BCBA, LBA
• Leah Eidlisz

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.